| NPI | 1003052564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS 3183) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112078) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2022-08-10 |